Organization Active NPI

Guillermo I Rocha, MD, PA

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1508900622
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G6382 Issued in TX
Legal business name
GUILLERMO I ROCHA, MD, PA
Practice address
3727 Roosevelt Ave
San Antonio, TX 78214-2934
Phone
(210) 922-5922
Fax
(210) 924-5600
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guillermo Ismael Rocha, MD
Title
Owner
Phone
(210) 922-5922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G6382 TX Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3727 Roosevelt Ave
San Antonio, TX 78214-2934

Mailing address

3727 Roosevelt Ave
San Antonio, TX 78214-2934
Phone (210) 922-5922

Other practice location 1

19575 K St
Somerset, TX 78069-4542
Phone (210) 922-5922

Other identifiers 1

IdentifierTypeStateIssuer
120476004MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grocha@rochamd.direct.emds.com Direct

National Provider Directory

National Provider Directory

Locations

19575 K St
Somerset, TX 78069
Phone (210) 922-1144

Interoperability endpoints

  • Direct secure messaging: grocha@rochamd.direct.emds.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1508900622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142934",
            "telephone_number": "210-922-5922",
            "fax_number": "210-924-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142934",
            "telephone_number": "210-922-5922",
            "fax_number": "210-924-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19575 K St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "TX",
            "postal_code": "780694542",
            "country_code": "US",
            "telephone_number": "210-922-5922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUILLERMO I ROCHA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "ISMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-922-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "G6382",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120476004",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grocha@rochamd.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "grochamd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3727 Roosevelt Ave",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782142934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.